Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective

Hazell, Cassie M, Strauss, Clara, Cavanagh, Kate and Hayward, Mark (2017) Barriers to disseminating brief CBT for voices from a lived experience and clinician perspective. PLoS ONE, 12 (6). e0178715. ISSN 1932-6203

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Access to psychological therapies continues to be poor for people experiencing psychosis. To address this problem, researchers are developing brief interventions that address the specific symptoms associated with psychosis, i.e., hearing voices. As part of the development work for a brief Cognitive Behaviour Therapy (CBT) intervention for voices we collected qualitative data from people who hear voices (study 1) and clinicians (study 2) on the potential barriers and facilitators to implementation and engagement. Thematic analysis of the responses from both groups revealed a number of anticipated barriers to implementation and engagement. Both groups believed the presenting problem (voices and psychosis symptoms) may impede engagement. Furthermore clinicians identified a lack of resources to be a barrier to implementation. The only facilitator to engagement was reported by people who hear voices who believed a compassionate, experienced and trustworthy therapist would promote engagement. The results are discussed in relation to how these barriers could be addressed in the context of a brief intervention using CBT techniques.

Item Type: Article
Schools and Departments: School of Psychology > Psychology
Brighton and Sussex Medical School > Primary Care and Public Health
Depositing User: Cassie Hazell
Date Deposited: 07 Jun 2017 13:23
Last Modified: 28 Sep 2017 14:30

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